MARIO D MIJARES (NPI# 1164934592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164934592 |
| Entity Type | Individual |
| Full Name | MARIO D MIJARES |
| Credential | CCS ADC II |
| Practice Address |
1648 Avenida Andante Oceanside CA 92056-6908 |
| Practice Telephone | 8087219634 |
| Mailing Telephone | 8087219634 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0346 | ZZ | Behavioral Health & Social Service Providers |
| Street Address |
1648 AVENIDA ANDANTE |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-6908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1215540711 | Daniella Vera Felipe | Counselor | 1919 Apple St Ste D, Oceanside, CA 92054-4425 | 2020-08-25 |
| 1861005498 | Hunter Pahl Galicia | Counselor | 701 Mission Ave Ste 310, Oceanside, CA 92054-2833 | 2020-08-24 |
| 1548879737 | Shiloh Trujillo | Counselor | 3923 Waring Rd Ste 258, Oceanside, CA 92056-4457 | 2020-07-23 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1972134260 | Keith Angelin | Counselor | 900 N Cleveland St Spc 98, Oceanside, CA 92054-2179 | 2020-01-27 |
| 1093290686 | Katrina Nathan | Counselor | 295 Tierra Blanca Ave, Oceanside, CA 92058-6899 | 2018-09-28 |
| 1376041707 | Julie Ann Alvarez | Counselor | 3921 Waring Rd Ste A, Oceanside, CA 92056-4456 | 2018-01-31 |
| 1366977217 | Keith Angelin | Counselor | 1510 S Coast Hwy, Oceanside, CA 92054-5355 | 2017-04-28 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| Find all providers in OCEANSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.